Nursing
There are many diseases that can be treated if they are detected at an early stage. A number of such diseases include cancers including colon, cervical and breast cancers. All of the mentioned diseases can be fatal if they are not treated in a timely manner. For treatment in a timely manner, it is important that the disease is detected while it is still benign and not that harmful. For that purpose people need to get screened so that they know if they have any kind of morbidity. Many campaigns are being run all over the world for creating awareness about these screening tests among women so that they can help fight their disease while it is still at an early stage. However, there are many hurdles to the effectiveness of such campaigns and one of which is the financial limitations. Therefore, there is a program that has been launched especially for women and that is called “Every Woman Matters’. This is a program that would pay for women who are aged between 40 and 74, if they want to get any screening tests done. These women will be given financial aid if they fulfill the eligibility criteria that have been set for the program. It should be remembered that one of the eligibility criterion is the age limit; women under the age of 40 and above the age of 74 are not looked after in this program.
The services that are provided to the enrolled women of Every Woman Matters include Clinical Breast Exam, yearly Pelvic Exam if it was done without CBE, Pap test every two years, blood pressure monitoring, screening mammogram, height/weight monitoring, lipids and triglycerides monitoring and glucose monitoring for women who have been diagnosed with diabetes mellitus (Every Woman Matters Program, 2013).
Screening tests are also being offered for colon cancer for men as well as women who are aged between 50 and 74 years. Another aspect of this program is the special steps that have been taken for the eradication of cancer and for the provision of proper healthcare facilities to the women who have been diagnosed with cervical or breast cancer. The vision of this program is to provide education, quality treatment and rehabilitation to every woman who has been diagnosed with any one of the aforementioned cancers, irrespective of their age, social, economic level and race.
The mission of this program is to make available the financial resources for the women who have been diagnosed with cervical and breast cancer as per their financial status so that there is no woman who cannot get herself treated because there is a lack of financial resources.
The reasons why this program was ineffective was because a certain eligibility criteria was set for the financial aid of the women who wanted to get screened. Another thing that rendered this program somewhat ineffective was the fact that there was an age bracket for the women to take advantage of these services, since many cases of breast cancer have been reported under the age of 40 and above the age of 74. Moreover, there are millions of diseases that many women across the world are suffering from, whose screening has not been mentioned in the list of services that are provided by this program.
One of the prevention programs that advocate early screening is the vaccination of women and girls for cervical cancer that is acquired because of the exposure to the HPV. It has been proved that by vaccinating the women and girls before they become sexually active can result in a significantly decreased incidence of getting cervical cancer over the years. Since 70% of the cervical cancers are caused by the infection of HPV, there will be an increased need for the screening of the women who have been vaccinated along with the ones who have not been vaccinated. Therefore, the comprehensive approach that was adopted for the prevention of cervical cancer included both the vaccination of women and girls before they become sexually active and then screening these women to find out if there are any precancerous lesions so that treatment can be started on time before the disease becomes invasive (UNFP, 2011).
According to many reports, screening alone can result in 25% decrease in the deaths that are caused by breast cancer. Prevention programs for breast cancer extensively educate the women to know the risk factors for breast cancers, one of which is a positive family history. Therefore, women are told that if they know anyone in their family who has had breast cancer they should get their screening done every year for precancerous growths so that they can be removed and the disease be stopped. The reason why these prevention programs are effective is the fact that women are being aggressively educated about this cancer and are being encouraged to take control of their health. They are made familiar with the signs, symptoms and risk factors so that they can come for early screening.
If I was the in charge of the Every Woman Matters program, I would definitely have made many amendments in this program so as to make it more effective. First of all, I would make sure that every woman who had enrolled for this program is actually coming in for follow-ups and is getting herself regularly screened. If not, then I would contact her when it is time for her to get her screening done as well as post a letter to her house so that she is reminded of it. Moreover, I feel that the involvement of the family in the screening tests would also make this program effective.
References:
Backer, E.L., Geske, J.A., Mcllvain, H.E., Dodendorf, D.M. AND Minier, M.D. (2005).
Improving Female Preventive Healthcare Delivery Through Practice Change: An Every Woman Matters Study. JABFP, Vol, 8 (5).
Every Woman Matters Program (2013). Helping Women Live Healthier Lives < http://dhhs.ne.gov/publichealth/Pages/womenshealth_ewm.aspx>
UNFP. 2011. “Comprehensive Cervical Cancer Prevention and Control” http://www.unfpa.org/webdav/site/global/shared/ENGLISH-%20Cervical%20Cancer%20Guidance.pdf .
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